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Abdominoplasty

Sometimes after multiple pregnancies or large weight loss, abdominal muscles weaken, and skin in the area becomes flaccid. Abdominoplasty can tighten the abdominal muscles and, in some instances, improve stretch marks. In men and women who have fat that is concentrated in the abdomen, the procedure will remove excess skin and fat. The surgery will not eliminate minor wrinkling or take the place of dieting, but it can improve a loss of skin elasticity in combination with localized fat accumulation.
This operation may be performed on an outpatient basis or during a brief hospital stay. To smooth out the abdomen, the surgeon works through a low abdominal incision that spans the hips. Because sagging skin will be pulled down over the abdomen before it is removed, it may be necessary to release the navel from its surrounding skin and bring it out through a new skin opening. Resulting scars across the public area and around the navel are permanent but flatten and lighten in color over time.
Sometimes, abdominoplasty may be combined with liposuction to achieve the best result. In some instances, when skin laxity and muscle weakness are limited to the area below the navel, a modified abdominoplasty may be recommended. This procedure usually leaves a shorter scar and no scarring around the navel.
Following abdominoplasty, you will be advised to wear a light support garment during the recovery period and to avoid strenuous activity for a few weeks.
Dr. Worland has lectured and written abdominoplasties utilizing the tumescent technique, thereby obviating the need for general anesthesia and its associated increased risks.

Abdominoplasty - Before and After Pictures


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Procedural Diagrams


In abdominoplasty, an incision is usually made across the pubic area and around the naval. Skin in the shaded area is separated from the abdominal wall.


To tighten the abdominal wall, the surgeon brings loose underlying tissue and muscle together with sutures.


Abdominal skin is drawn downward, and the excess is removed. A small opening is made to bring the navel through.


The postoperative patients shown with resultant scars.

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